Start a new prescription
All new prescriptions start within the Medications tab of the Patient Dashboard.
When sending prescriptions from RXNT, please ensure that the patient's address is a physical address and not a P.O. box.
To search for a medication, type the drug name into the Write Rx text box above the medication list, then click Search.
To locate one of your practice's free text medications, ensure the Favorites radio button is selected prior to clicking Search, or, click the Favorites button to load the list.
If you are unable to locate your medication, especially if it's a new drug, please note that we receive our FDB (Formulary or Medication Database) file on a weekly basis. Currently, we perform manual updates every Thursday morning to ensure the medication is promptly integrated into our system. Users who can wait an additional day to prescribe it will find it readily available. Alternatively, users have the option to add it as a free text medication.
From the search results, click on the appropriate medication to begin the prescription.
Formulary Key
The Formulary Key is a tool used to alert providers when a drug may or may not be covered by insurance. Formulary indicators do not prevent prescribing, as providers can prescribe any medication, whether the drug is on or off formulary. This tool is meant to assist with medication adherence.
The indicators displayed are based on the latest coverage data extracted from Surescripts based on the patient's previous prescriptions with various pharmacies.
Formulary Key indicators explained
- This medication is on the patient's insurance company's formulary. The number indicates how preferred the medication is. The higher the number, ranging from 1-97, the more preferred the medication. A preferred medication is a brand-name drug that may not be available in generic form but chooses its cost-effectiveness compared to alternatives based on the patient's insurance.
- This medication is on the patient’s insurance company's list of approved medications.
- This medication may not be included on the patient’s insurance company’s formulary. If prescribed, the Pharmacist may contact you to approve a generic alternative medication.
- This medication is likely not covered by the patient’s insurance.
- Prior authorization may be required for this medication. Click here to learn more about the Electronic Prior Authorization (EPA) process.
- The patient’s insurance company may require the patient try alternative, lower-cost medications prior to “stepping-up” to a similar, more expensive drug.
- The medication's formulary status is unknown.
-
There may be a coupon available for this medication.
Drug-to-drug/allergy interactions
When prescribing a medication, you may run into a drug-to-drug interaction. In that case, the Interaction tab will be blinking red.
Selecting the Interactions tab will provide you with the all interaction details and you can select the hyperlink (SELECTED ANTIDIABETIC AGENTS/SELECTED QUINOLONES) and make changes to the medication.
Add prescription details
Click Calculator to open the pediatric dosage calculator to view the minimum and maximum daily dosage based on the patient's height and weight. It is available for patients under 18 years old.
Once you've selected the medication, add your prescription details by choosing from an existing Custom Sig, if applicable, a Recommended Sig, or select Create New Sig.
If the medication interacts with a patient's allergy documented in RXNT, you may be prompted with an interaction warning. You can accept the interaction or choose to find an alternative for the patient.
Enter the dosage, quantity, and units for the medication.
Units options are determined by NCPDP 2017071 prescription standards as required by 42 CFR 170. Prescription units allowable in NCPDP 2017071 are based on a list compiled by the National Cancer Institute.
Add a note for the pharmacy
Enter up to 140 characters in the Pharmacist Notes field.
To save a pharmacy note for future use, click on the icon to the right of the notes field, then Add Text. The note will be available to choose from for future use.
Link diagnosis to prescription
If needed, link a diagnosis to the prescription sing the Diagnosis dropdown menu.
Complete any additional medication details, click Add Drug to prescribe other medications, or Continue to finish the prescription.
Vitals
- If you are using the EHR, then the height and weight for the prescription will automatically pull from the most recent vitals for the patient (in the vitals & charting section, based on the date of the entry).
- If you use ERX only, the height and weight will populate based on previous prescriptions. For new patients, or patients that haven't previously been prescribed medications requiring height and weight, these will be blank, and the provider will need to enter them. For patients previously prescribed medications requiring height and weight, these fields populate with the last entered height and weight, and the provider can edit the information as needed.
Select a pharmacy
Choose the pharmacy by clicking on the name of the pharmacy from the list. The patient favorite Pharmacies will automatically show, but you can also view Prescriber Favorite Pharmacies or search for a new pharmacy using the search options. (Note: If you are prescribing a controlled substance, ensure that the selected pharmacy has EPCS listed in the Type column. This means that the pharmacy is certified to accept controlled substance prescriptions electronically.)
Save or send the prescription
On the prescription preview screen, you'll be prompted again if there are any interactions for the medication. You'll also have the option to edit any prescription information before sending it. If you're ready to send the prescription, click Send to transmit it to the pharmacy.
If you are setting this prescription up on behalf of a provider, and it either contains any controlled medications or you don't have access to send prescriptions on behalf of the provider, click Save as Pending to save the prescription for provider approval.
If any controlled substances are included, RXNT's authentication system for EPCS requires providers to verify their identity using their RXNT login password and a push notification through the ID.me app.
Enter your RXNT Login Password.
Click Verify with ID.me to prompt the push notification on your mobile device.
Open the push notification on your mobile device and tap Yes to verify your identity and send the prescription.
Still need help? Contact us!
Have a great idea? Tell us about it!